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Individual
TRACY L THIGPEN
Active
Individual
TRACY L THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19418
CA
363L00000X
Nurse Practitioner
AP133054
TX
363LF0000X
Family Nurse Practitioner
Primary
AP133054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF.4/9/13-RIALTO
—
CA
05
—
EFF: 5/3/2012
—
CA
05
—
FONTANA-EFF.6/4/13
—
CA
01
—
P01282962/DU4034
RAILROAD MEDICARE
CA
Enumeration date
08/14/2008
Last updated
04/19/2026
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